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- Title
Application of ECMO in Multitrauma Patients With ARDS as Rescue Therapy.
- Authors
Madershahian, Navid; Wittwer, Thorsten; Strauch, Justus; Franke, Ulrich F. W.; Wippermann, Jens; Kaluza, Mirko; Wahlers, Thorsten
- Abstract
Background: Despite recent advances in critical care management, the mortality of acute respiratory distress syndrome (ARDS) remains high. The final rescue therapy for patients with severe hypoxia refractory to conventional therapy modalities is the extracorporeal gas exchange. Methods: We report the management of three polytraumatized patients with life-threatening injuries, severe blunt thoracic trauma, and consecutive ARDS treating by extracorporeal membrane oxygenation (ECMO). Two patients suffered a car accident with severe lung contusion and parenychmal bleeding. Bronchial rupture and mediastinal emphysema was found in one of them. Another patient developed ARDS after attempted suicide with multiple fractures together with blunt abdominal and thoracic trauma. Results: All patients were placed on ECMO and could be rapidly stabilized. They were weaned from ECMO after a mean of 114 ± 27 hours of support without complications, respectively. Mean duration of ICU stay was 37 ± 23 days. Conclusions: Quick encouragement of ECMO for the temporary management of gas exchange may increase survival rates in trauma patients with ARDS.
- Subjects
ADULT respiratory distress syndrome; EXTRACORPOREAL membrane oxygenation; THERAPEUTICS; MORTALITY; HEMORRHAGE; PULMONARY emphysema
- Publication
Journal of Cardiac Surgery, 2007, Vol 22, Issue 3, p180
- ISSN
0886-0440
- Publication type
Article
- DOI
10.1111/j.1540-8191.2007.00381.x